| NPI | 1528943164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6842) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 131732) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |